Provider Demographics
NPI:1811605439
Name:WARREN, GINA ANN
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:ANN
Last Name:WARREN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1970 CAPLINGER DR
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-8108
Mailing Address - Country:US
Mailing Address - Phone:614-493-6720
Mailing Address - Fax:
Practice Address - Street 1:1970 CAPLINGER DR
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-8108
Practice Address - Country:US
Practice Address - Phone:614-493-6720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant